Coding experts agree that ASCs should conduct regular audits of their coding processes to ensure the ASC is not upcoding, a possible fraud issue, or downcoding, leading to a loss of owed reimbursement ...

The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...

In a Q&A, Joann Ferguson, the health system's VP of revenue cycle, explains how the technology saves time and money and improves revenue cycle and clinical processes. Among the many uses for AI ...

Medical coding is a dynamic and complex field requiring expertise in medical terminology, anatomy and treatments, as well as a deep understanding of billing regulations and practices. With 95,000-plus ...

Developers often adopt generative AI (GenAI) because it helps them to code faster, yet the tooling has potential to expose organisations to unaccounted for risks – especially if use is unauthorised or ...